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causes either exacerbation of mild PCP phenotypes in animals homozygotes
for mutations in other PCP genes or an appearance of full-fledged PCP de-
fects (inner ear, NT, heart) in otherwise normal heteroyzgotes bearing one
mutated allele of other PCP genes including Vangl1 ( Antic et al., 2010; Song
et al., 2010; Torban et al., 2008 ), Dvl1/2/3 ( Etheridge et al., 2008; Wang,
Hamblet, et al., 2006 ), Fz1/2 ( Wang, Hamblet, et al., 2006; Yu et al., 2010 ),
Celsr1 ( Curtin et al., 2003 ), Scribble ( Murdoch et al., 2003 ), Ptk7 ( Lu et al.,
2004 ), and Sec24b ( Merte et al., 2010 ). These observations establish the
critical and dosage-sensitive functional role of Vangl2 in molecular
processes underlying PCP signaling in many cell types.
Mechanistically, Lp variants have been proposed to behave either as par-
tially penetrant with negative codominance or as haploid insufficiency in a
gene dosage-dependent pathway. In favor of the former are the observations
that (a) several Vangl2-associated PCP phenotypes appear more severe for
Lp alleles ( Vangl2 D255E , Vangl2 S264N ) than for null allele ( Vangl2 TM/TM )
( Yin et al., 2012 ); (b) Vangl1 and Vangl2 appear to physically interact
and, in cotransfection experiments, Lp alleles disrupt Vangl1/Vangl2 inter-
actions, as well as trafficking and membrane targeting of Vangl1 and Vangl2
( Yin et al., 2012 ), and decrease of the posttranslational modification of WT
protein ( Gao et al., 2011; Song et al., 2010 ). In support of haploid
insufficiency in a gene dosage-dependent pathway are the observations
that (a) experimental overexpression or silencing of core PCP genes
causes the same phenotype in different animal models tested; (b) all
experimentally induced ( Gao et al., 2011; Song et al., 2010 ) or naturally
occurring Vangl2 mutations ( Guyot et al., 2011; Kibar, Underhill, et al.,
2001; Kibar, Vogan, et al., 2001 ) described so far show varying degrees
of the same phenotype (looped tail, inner ear defects) in heterozygotes
and homozygotes in vivo ; (c) Lp -associated Vangl2 protein variants are
expressed at lower levels in vivo ( Montcouquiol et al., 2006; Shafer,
Onishi, Lo, Colakoglu, & Zou, 2011; Torban et al., 2007 ) and display
reduced stability and shorter half-life when tested in vitro ( Gravel et al.,
2010; Iliescu, Gravel, Horth, Kibar, et al., 2011 ); (d) colocalization
studies by double immunofluorescence and confocal microscopy in
transfected MDCK cells show that expression of Vangl2 D255E has no
effect on membrane targeting of WT Vangl2 ( Gravel et al., 2010 ).
Finally, genetic background has a strong influence on penetrance and
expressivity of Lp -associated phenotypes ( Strong & Hollander, 1949 ),
which complicates analysis of mode of inheritance of Vangl2 mutations
and the associated interpretation of experimental results obtained in vivo .
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